Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dergham Dergham, DDS

Individual provider Pediatric Dentistry · NPI 1396022703

Dr. Dergham Dergham, DDS is a Pediatric Dentistry in Lorain, Ohio. Licensed in Ohio. Registered with an NPI since 2011.

Licensed in
OH
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4785 Leavitt Rd
Lorain, OH 44053-2136
Phone: (440) 282-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30-023579 (OH)

Record details

NPI number1396022703
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 14, 2011
Last updated in NPPESNovember 14, 2011

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